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1
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pagel of 3
Labor and Human Relations
Division of Safety&Buildings in accord with ILHR 83.05,Wis.Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,but S7
not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.#
dimensioned,north arrow,and location and distance to nearest road. Q 3 /60
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION _ DATE
PROPERTY OWNER: PROPERTY LOCATION
J�st/t) S6,119EP 6'S GOVT.LOT 4W 1/410V1141S T ,N,R E(o 0
PROPERTY OWNER':S MAILI G DRE� LOT PBLOCK# SUBD.NA E 0 CSM#
CITY,STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE NEAREST ROAD
Hllpso,✓ Cvi S�oIC° (-7/S) 3dZ'6 12- T Roy
[ ] New Construction Use[ Residential I Number of badrooms 3 J Addi'on t existingpuildi
[v[�Replacement [ J Public or commercial describe
Code derived daily flow 69 gpd Recommerded design loading rate bed,gpd/ft2 • trench,gpd1ft2
Absorption area required,�bed,ft2 ✓ trench,ft2 Maximum design loading rate - bed,gpd/ft2 trench,gpd/ft2
Recommended infiltration surface elevation(s) S-RZ Pa- 3 ft (as referred to site plan benchmark)
Additional design/site conside ations s o/0E —/ 'godle es OX.G-s
Parent material 545 7Y f%1107_�/ 1AZ-5Y o 4AC-R Flood plain elevation,if applicable L4�' ft
Jr/,11—el' ou
S=Suitable for system CONS[]U L MOuW1 U IN-G_ RO�IDID U ESSURE AT— []U SYST IN FILL HOLDING TAN
U=Unsuitable for stem [[��'$$ �C��'S as � ffs []U [IS
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourrl3y Roots GPD/ft
in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Tiench
1-F .2 3
�.P 5 /f . Y •ss
7 Ground 0- jr. :::9 S
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ft. :
Depth to '
limiting
factor
Remarks:
Boring# O- /o y;.e 312
z z - / /o s/ fs6,� 4,fAo es /7C y s
Ground
�3 ply ft. /0 516 j O s
Depth to
limiting /
factor
Remarks:
CST Name:—Please Print ��G�?� Phone: 7i� 3ofi >4
Address: �✓�✓�— O N � Z 541-01&P . rjo9�oa Gv/. 541-01& 1 l& 1-12-5737 C r
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Signature: Date: CST Number:
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PROPERTY OWNER �• ���� tr�"— SOIL DESCRIPTION REPORT Page of -3 l
PARCEL I.D.It
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundW Roots GPD/ft
in. Munsell Qu.Sz.Cont.Color Gr.Sz. Sh. Bed ITrench
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Remarks:
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Remarks:
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Parcel #: 040-1039-80-100 03/27/2006 05:15 PM
PAGE 1 OF 1
Alt. Parcel#: 09.28.19.133B-10 040-TOWN OF TROY
Current LXj ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
O-SOLBERG, DANIEL S&KARLA J TRUST
DANIEL S&KARLA J TRUST SOLBERG
512 COULEE TRL
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *512 COULEE TRL
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 9 T28N R19W 2AC NW NW LOT 1 OF CSM Block/Condo Bldg:
1/176 ORD+/-THAT PT RETAINED IN
1555/323 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
09-28N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
11/01/2000 632796 5532/3 TD 15
05/19/2000 623318 -t512M44, QC
07/23/1997 530/12
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
102318 292,800
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 55,000 226,800 281,800 NO
Totals for 2005:
General Property 2.000 55,000 226,800 281,800
Woodland 0.000 0 0
Totals for 2004:
General Property 2.000 55,000 226,800 281,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch#: 115
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
32941
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Certified Survey M ST.CROIX Nay
Part of the NW 1/4 of the NW 1/4 of Section 9, Township 28 North est
Town of Troy, St. Croix County, Wisconsin
N.W. Corner Daniel Solberg
Section 9
S89 046'50'W
1900 316 .80' �O
S
F—
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Sec-9 0 N O
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N 89°46'50"E 24' N89046'5d" S
24781 316.80' o
to U*)
o C.T.H. FF
to o
L
0 Indicated 24" long iron pipe stake weighing 1.13 #/ft. Scale:l"= 100'
Description: That certain parcel of land or tract of real estate located in the
NW 1/4 of the NW 1/4 of Section 9, Township 28 North, Range 19 West, Town of Troy,
St. Croix County, Wisconsin, more fully described as follows: Commencing at the
northwest corner of said Section 9, thence go due South (assumed bearing) along
the west line of said Section 9 a distance of 1281.41 feet to the north right-of-
way lime of C.T.H. F; thence N 890 46' 50" E along' said north right-of-way line
a distance of 247.81 feet to the Point of Beginning of the parcel to be herein
conveyed; thence continue along said north right-of-way line N 890 46' 50" E
a distance of 316.80 feet; thence N 000 131 10" W a distance of 275.00 feet;
thence S 890 46' 50" W a distance of 316.80 feet; thence S 000 13' 10" E a distance
of 275.00 feet to the Point of Beginning, the above described parcel containing
2.00 acres.
State of Wisconsina)
County of Pierce ) ss
I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction
of the Owner, Daniel Solberg, I have surveyed and divided the lands shown hereon and
that the map and description shown hereon are a true and correct representation
and description of the lands as divided; and that I have complied with all the provisions
of Chapter 236.34 of the Wisconsin Statutes in surveying, dividing,"'mappitig•,1nd
describing said lands. , �'
Dated: 25 September 1975 ► ;' -j r CQ
rr K c
Vol; 1 Page 176 - 0 ' } o
• 0
St. Croix County, Wis. James Lf Pi
Certified Survey Maps R gistered Larislu d!r "
is survey corrects the survey
329418
in Vol. 1 Page 151 . 1p 11 4
Volume 1 Page 176 L E D 00
OD SEP 261975
JAWS O'Cit4 S N
Rep4ter of Deed, ....
s4 Croix County.
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